18-102417City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ARCO FACILITY - PACIFIC HIGHWAY
Project Address: 35505 PACIFIC HWY S
Project Description: Run wires to dispenser and tank monitor.
Electrical
Permit #:18 -102417 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 292104 9127
Owner
Applicant
Contractor
TRIPLE B PAC HWY INC
JOEY COSTELLOEMERALD ELECTRIC
EMERALD ELECTRIC NW
3817 S 377TH ST
NW
EMERAEN902DT (4/17/20)
FEDERAL WAY WA 98001
9830 220TH PL SE
SNOHOMISH WA 98296
9830 220TH PL SE
SNOHONIISH WA 98296
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
PERMIT EXPIRES Tuesday, 4 June, 2019
Permit Issued on Monday, June 4, 2018
hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
!, W40hngton and the City of Federal Way.
Owner or agent:
r
Date:
crrr us
Federal Way
PERMIT #: 1810241700
THIS CARD IS TO REMAIN ON-SITE s
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 35505 PACIFIC HWY S
Project: TRIPLE B PAC HWY INC FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
E
UFER Ground (4295)
0
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
0
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date _
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date _
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
i
RECEIVED ELEC'T'RICAL
juN 0 4 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY
()OMMUNt'tY DEVELOPMENT 0
PERMIT NUMBER
SITE ADDRESS: Pe -c_
/
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
�`� `� �S •e 11
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING AD ESS
E-MAIL
CITY
STATE
ZIP
]PAX
PRIMARY PHONE
ZS C ,9e C
MAILING ADDRESS
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E-MAIL
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ELECTRICAL
CONTRACTOR
CITY � �
STATEI
ZIP
FAX
EXP � � � TE
W_A STATECONTRACTOR'S PIA LICENSE Z 07—
11nC` (f
FEDERAL WAY BUSINESS LICENSE #
NAME
NAME
1-0 2 ( D
PRIMARY PHONE
( ) -
APPLICANT
MAILING
3 5�DRESS y /'^
E-MAIL
CITY
5oA-
STATE
ZIP
6
FAX
( -
PROJECT CONTACT
NAME
P- l
PRIMARY PHONE
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I certify under penalty of pequry that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. 1 certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as of this application.
SIGNATURE: DATE
PRINT E:
Bulletin # 160 - April 14, 2016 Page I of 1 Ul-landouts\Electrical Permit Application